STEPHEN DOUGLAS HICKS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

ACTIVE

Business

First Name

STEPHEN

Middle

DOUGLAS

Last Name

HICKS

Business Name

STEPHEN DOUGLAS HICKS

Original Issue Date

04/10/2019

Effective Date

05/23/2024

Expiration Date

05/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026